改良肠道准备法在便秘患者肠镜检查中的应用

发布时间：2018-04-28 22:30

本文选题：复方聚乙二醇电解质散 + 硫酸镁　；参考：《中国内镜杂志》2017年07期

【摘要】：目的评价改良肠道准备法复方聚乙二醇电解质散(SF-PEG,舒泰清)联合硫酸镁在便秘患者结肠镜检查肠道准备的效果。方法取行结肠镜肠道准备的轻中度便秘患者60例,随机分为两组:A组,常规剂量SF-PEG(438.4 g,4 L),30例;B组,续服贯用SF-PEG(219.2 g,2 L)和硫酸镁(50.00%50 ml,再口服250 ml温开水),30例。Boston肠道准备量表(BBPS)、肠腔内气泡评分和结肠镜检查时间由同一内镜医师单盲记录,药物耐受性、再次肠道准备接受率和不良反应采用患者问卷调查。结果所有患者均完成肠道准备和结肠镜检查。B组结肠镜检查时间短于A组(P0.05);B组BBPS总分高于A组(P0.05);B组肠腔内气泡评分明显低于A组(P0.05);B组再次肠道准备接受率明显高于A组(P0.05)。A、B两组口感和总体不良反应发生情况评分无明显差异(P0.05)。结论应用SF-PEG联合硫酸镁法,对轻中度便秘患者行结肠镜检查,具有耐受性好、清洁度高、镜检效果好和安全可靠等优点,推荐临床应用。
[Abstract]:Objective to evaluate the effect of modified bowel preparation method with compound polyethylene glycol electrolyte powder (SF-PEG) combined with magnesium sulfate on colonoscopy in patients with constipation. Methods 60 patients with mild and moderate constipation undergoing colonoscopy were randomly divided into two groups: group A (n = 30) and group B (n = 30). SF-PEG(219.2 gou2L) and magnesium sulfate 50.00pmlwere taken continuously, and 30 cases were treated with 250ml warm boiled water. The enteric bubble score and colonoscopy time were recorded by the same endoscoper in a single blind manner, and the drug tolerance was obtained. Second, the rate of intestinal preparation and adverse reactions were investigated by questionnaire. Results all patients completed intestinal preparation and colonoscopy. The total BBPS score of group B was significantly lower than that of group A (P 0.05). The score of intraintestinal bubble in group B was significantly lower than that in group A (P 0.05) and the rate of intestinal preparation in group B was significantly higher than that in group B. There was no significant difference in taste and overall adverse reactions between group A and group A (P 0.05). Conclusion the application of SF-PEG combined with magnesium sulfate for colonoscopy in patients with mild and moderate constipation has the advantages of good tolerance, high cleanliness, good effect of microscopic examination and safety and reliability, etc. Clinical application is recommended.
【作者单位】：西安交通大学第二附属医院普通外科;
【分类号】：R574.62

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